Colostomy protector



March 23, 1943..l

E. P. MARSAN coLosToMY iRoTEcToR Filed Nov. '28, 1941 INVENT OR.

iw/w www! Patented Mar. 23, 1943 UNITED STATESPATENT OFFICE COLOSTOMYPROTECTOR Edward Paul Marsan, Chicago, Ill.

Application November 28, 1941, Serial No. 420,787

4 Claims.

are placed in the incised space and secured to Y the abdomen. Theseintestinal ends form what are usually termed rose buds, and one of themis adapted to serve as and to provide an artificial rectum or anus toevacuate fecal matter from -the intestinal tract.

One of the aims of my invention is to provide a structure that isadapted to be placed over the rose buds and eliminate the use of thecolostomy pads which are extensively used. It is the practice to havethe patient irrigate every twenty-four hours in order to avoid as muchas possible promiscuous evacuation at various times. This however doesnot always result in proper control land the patient must therefore beprovided with protection against the uncontrolled evacuation. Largecotton pads for this purpose are more or less eiective when held inplace by tight binders or elastic belts, but they are quiteobjectionable because of the fact that several pads are usually requiredeach day, and whenever evacuation takes place the user must nd someconvenient place to partially disrobe while renewing Athe pad anddispose of the soiled pad. The reason for. this procedure is quiteobvious.

Another object of my invention is to provide a protector that isconvenient and comfortable to use and which is not conspicuous. So faras I amv aware, the articles of this character which i are available arebulky in size; they are unhandy to manipulate due to the use in many ofthem of reinforcing skeleton frames whichnot only are cumbersome butalso give` an unsightly appear- ,ance tothe outer garments; and manyrofthem are provided with inflated rubber cushioning portions to `encompassthe buds. vices,.the rubber` is unsanitary since it is diflicult to`cleanse and sterilize, it is comparatively shortlived as wellasexpensive, and after being in use a 'few days it Will'give off offensiveodors.

In the latter del A further object of my invention isv to provide 5 aprotector that will eliminate many unnecessary partssuch` as theinflated pad and the snappedon distender or' shield as Well as thespecial pouches and the specially made belts and other accessories.V o

Another object of myr invention is to provide a protector wherein theliability of an offensive odor arising is overcome, and also wherein thesack or container may be readily removed and disposed of after eachevacuation. In this connection I prefer to make use of sacks such as areobtainable in retail drug-stores at a very low cost and are made withthin Walls of latex which is tough and at the same time highly elasticand is capable of withstanding severe usage. As a further object I haveprovided novel means upon the cup, preferably in the form of a groovedor channeled flange that is self-sealing when in contact with theabdomen and thereby prevents egress of evacuated matter or the escape ofodors from the protector. Also I have provided novel means within themargins of the cup-shaped protector that is adapted to prevent, to alarge extent, the evacuated matter splashing back upon the abdomen whereit is liable to scald the skin and be uncomfortable to the patient. Withmy novel protector the user may make a complete change in a very fewminutes in any wash-room orpublic comfort station and thus eliminate thenecessity of going about with fecal matter'in a sack or bag until theuser arrives at home.

In accordance with the objects of my invention, other features will bepointed out hereinafter, or they will be apparent to others skilled inthe art after my invention is understood from the following description.

My improved protector will be more readily understood by reference tothe accompanying drawing taken in connection with my within descriptionthereof, and the features of novelty of my invention are pointed out inthe claims hereto appended. In this connection it will be under# stoodthat the disclosure is of a typicalor preferred form in which mycolostomy protector may be made. Therefore I do not wish to beunderstood as limiting myself to the precise construction which is shownsince modifications maybe made without departure from the scope of- 'myinvention as expressed in the claims hereof.

I will now describe the drawing, in which, Fig'- ure 1 is a smallperspective view of my invention showing it in use. Figure 2 is a frontor outer elevation of the cup-shaped or body portion of the protectorywith the belt andr 'sack removed. Figure 3 is a rear elevation lookinginto the cup-'- shaped main or body portion shown'in Figure 2. Figure 4is a side or edge elevation of the protector, and Figure 5 is akviewlooking "at the bottom thereof. Figure 6 is transverse section made onthe broken line 6-6 across Figure 3 Y and looking upward in thedirection of the arrows. Figure 7 is a view similar to Figure 8 but of amodified protector made in a more sim-V plied form.

Y that is concave-convex in cross-section as seen particularly in Figure6, and itis of anloval or pear-like outline which I have found is mostsatisfactory in actual use. Extending around the rim of the body I,there is an annular nange 2 that provides a flat confronting surface tobe brought into intimate contact with the abdomen around the protrudingbudsf of the surgicallyformed artificial anus. As seen in the drawing,the flange and the cupped body provide a smooth straight basal surfaceentirely in one plane and without projecting portions beyond such plane.Suitable loops 4 are formed on the outer face of the basal angealongside the cupped portion I, to receive the adjacent ends of a beltor harness I3 that are provided with suitablefastening devices I2 thatdetachably engage the respective loops. As will be noted, the loops donot horizontally aline with each other, but .one of slight- 1y above theother to permit the belt portions to be disposed respectively above andbelow the bone of the hip on the .right and left sides and renders theuse of an ordinary pair of Suspenders possible. e

The lower portion of the body is formed with a tubular neck 8 throughwhich there isa discharge passageway communicating with the interior ofthe cupped body. An annular rib or bead 9 is made around the lower edgeof the neck 8, and the adjacent portion of the annular flange 2 where itmeets the neck is slightly depressed as indicated in Figure 4 so thatthere is a stepped back area 'I extending across the rear portion of theneck in a horizontal direction. The neck provides a suitable stub thatis kadapted to be inserted into the upper open. end of the latex sack 6,.shown in dotted lines in Figure l,

and which is adapted to be secured in place by means of a rubber-bandsuch as are used with stationery and other commodities. This secures thesack rmly vin place above the rib or bead 9, but permitsof the readyremovalia'nd replacement whenever desirable. 'Ihe evacuated matterdischarges into the cupped body and passes downward through the neckinto the sack which is pendent upon the latter and is retainedin thesack until disposal of the latter.

In the event the evacuated matter is more or less fluid and `isforcefully discharged, I have provided means Within the cupped body toprevent a backward splash of the matter. These means are in the form ofinwardly extending anges Ii?, IQ, that project towards each other fromopposite sides of the cupped body in the manner shown in Figures Y3 and6. These splash flanges have their Vouter surfaces flush with thesurfaces of the adjacent portions of the annular ange 2, and their innersurfaces are of a chamfered character so that they slope into the cup inthe vmanner shown in detail in Figure 6. This permits vof the readycleansing and sterilizing of thevarious parts of the protector.

Another vnovel Vfeature of my improved protector is the provision of anannular groove or channel Il `that extends around the flange 2intermediate the edges thereof and is preferably continuous from end toend and terminates at the depressed area -1 at the back of the neck.This groove is upon the back face of the ange, that is. it isA upon thesurface which is adapted to contact the abdomen of the user, so thatwhen the protector isplaced in position with the belt tightened the skintissue will bulge or be drawn into Vthe groove to Vcreate a slightvacuum and thereby provide adependable seal that prevents seepage ofevacuated matter and the escape of odor from the same.

I prefer to form the structure of a plastic material that is more orless transparent, such for example as dental plastic acrylic which issusceptible of being tinted a esh-color and is light in weight. Theshape and dimensions of the cupped portion are such that the buds arereadily accommodated therein without irritation being set up due tocontact therewith, and the entire structure is made so that there ispracically no annoyance to the user in any ordinary exercise or motionof the human body.

Having described my invention, what I claim 'was new and desire tosecure by Letters Patent is:

1. As a new article of manufacture, a surgical appliance embodying anon-yielding cup-shaped body having a rear opening and adapted tosurround and shield a colostomy; a hollow stub integral with said bodyand communicating with the lower portion thereof; a groove in the edgeof the body wall surrounding said opening, said groove having less widththan the thickness of the wall and adapted to form a Avacuum sealbetween said body and the skin 4tissue around the colostomy; and aexible sack detachably mounted on said hollow stub. 4 2. As a newarticle of manufacture, a rigid surgical appliance embodying anon-yielding cupshaped body having a rear opening and adapted tosurround and shield a colostomy; a hollow stub integral with said bodyand communicating therewith; a base flange integral with said body andextending annularly around the rear thereof, the said flange and theedge of the bodywall presenting a fiat contact surface in a commonplane; and a groove intermediate the margins of the aforesaidcontact-surface, the said groove adapted to form a vacuum seal with theskin tissue around and spaced from the colostomy.

3. As a new article of manufacture, a surgical appliance embodying anon-collapsible cupshaped body provided with a rear opening and adaptedto surround and shield a colostomy; `a hollow stub integral with saidbody and having communication therewith; a rigid base-ange integral withsaid body and extending annularly around the vrear thereof, the saidbase-flange and the proximate edge of the body wall presenting a flatcontact surface in a common plane; and inwardly extending splash-flangesprojecting towards each other from opposite side portions of saidopening and disposed wholly within the confines of said cup-shaped body,the exterior faces of said splash-flanges being disposed in a planesubstantially coincident with the common plane of the aforesaid fiatcontact surface.

4. As a new article of manufacture, a rigid surgical appliance embodyinga non-yielding cupshaped body having a rear opening and adapted tosurround and shield a colostomy; a hollow stub integral with said bodyand communicating therewith; a base flange integral'with said body andextending outwardly around the rear thereof inwardly extending flangesprojecting towards each other from opposite sides of said opening anddisposed wholly within the iconnes of the cup-shaped body and adapted toprevent backsplash through said opening; said base flange and EDWARDPAUL MARSAN;

